1. Dustoff 2
UH-1 helicopter (Huey) workhorse of the Viet Nam era..MedEvac
choppers typically referred to as "Dustoff.“
Photo source: USUHSPAO, Sandra Carbajal, November 2, 2011.
http://www.flickr.com/photos/48481327@N07/6305741094/in/photos
tream/

2. • Patient Movement Items (PMI) consists of critical life-sustaining medical
equipment
• Without this equipment, casualty survivability would not be possible during
transport between medical facilities
• This equipment is also very expensive, and the initial treatment team (usually
a Forward Surgical Team) has very limited resources
• If the life-sustaining equipment is evacuated with the casualty, the treatment
team loses this equipment and thus loses the ability to treat additional
casualties
• The PMI program was implemented as a solution to this problem
• The basic concept is to provide additional “theater-owned” medical
equipment that is solely used to sustain patients during transport
• Replacement PMI is exchanged one-for-one during patient evacuations
• The patient is able to remain on life support during transport, and the

3. TERM MEANING
CL VIII Military class of supply pertaining to Medical items
CSH Combat Support Hospital (Role III Medical facility)
CASEVAC Casualty Evacuation- This type of evacuation pertains to the use of non-medical
evacuation platforms (e.g. transporting casualties in the back of a truck as opposed
to an ambulance)
DUSTOFF A term used for rotary wing (helicopter) air-evacuation units
FST Forward Surgical Team (Role II+ Medical facility)
MEDEVAC Medical Evacuation- This type pertains to the transporting of casualties using
standard medical evacuation platforms (e.g. ambulances or medically configured
helicopters)
MEDLOG Medical Logistics
MLC Medical Logistics Company
PAD Patient Administrator
Role II Medical unit located closest to or within conflict zone able to provide resuscitative,
surgical, and post-op care in order to stabilize a casualty for evacuation to a Role III
facility (Ref 4)
Role III Larger medical facility located further from the conflict zone that has additional
diagnostic, surgical, and specialty care capabilities. Facility is able to fully recover
casualties or further stabilize injuries requiring more definitive care outside of the
Theater of Operations (such as an established hospital in Germany or in the U.S.)

4. Defibrillator, Zoll MedSys III IV Pump 326M Suction Unit Vital Sign
Monitor
Pulse Oximeter 754M Ventilator LTV 1000 PCA Pump
Ventilator
Kendall SCD 9525 KCI Wound Vac Oxygen Monitor
***Photos taken directly from the Southwest Asia (SWA) PMI Cell presentation (Ref

5. Durables consist of reusable medical items that are not categorized
as life-sustaining equipment. Examples include:
• Litters, wheeled litter carriers, litter straps
• Adjustable back elevators
• Litter pads
Vignette Terminology
AOR:
Area of Responsibility
FOB:
Forward Operating Base
• “Package about how the 386th Expeditionary Medical Group recently stood up a new mission titled the
Patient Movement Item or PMI hub in support of several area of responsibility operations.
Soundbite includes SSgt. Taylor Ramos - 386 MDG PMI Manager. Produced by SSgt. Peter Ising.”
Accessed from the Defense Video and Imagery Distribution Sustem (DVIDS) at
http://www.dvidshub.net/video/125230/medical-supplies-quick-fast-and-hurry#.T8LkHLBfGIk.

6. DEPLOYED MEDICAL UNIT
REQUIRES MEDEVAC OF
CASUALTIES)
MEDEVAC REQUEST IS
SENT AND INCLUDES
DETAILS OF REQUIRED
PMI
DUST OFF NOTIFIES
HIGHER ECHELON
DUST OFF UNIT RECEIVES
MEDICAL FACILITY (ROLE
REQUEST AND LOADS
III) OF PMI BEING USED
REQUESTED PMI
ROLE III PREPARES
EXCHANGE PMI
PAD OFFICER LOGS REQUESTING MEDICAL UNIT
EQUIPMENT FOR
PMI EQUIPMENT TO PREPARES CASUALTIES FOR
EXCHANGE WITH DUST
BE TRANSPORTED MEDEVAC TRANSPORT USING ON-
OFF
WITH CASUALTIES SITE PMI EQUIPMENT
PAD OFFICER INSPECTS
MEDEVAC ARRIVES, EXCHANGES PMI FOR SERVICEABILITY
PMI EQUIPMENT (1 for 1), AND AND LOGS PMI EQUIPMENT
TAKES CASUALTIES FOR AS RECEIVED IN
TRANSPORT TO ROLE III DATABASE/REPORT
DUST OFF TRANSFERS PAD OFFICER THEN RESETS THE PMI
CASUALTIES AT ROLE III INTO A TRANSPORTABLE
AND RECEIVES 1-for-1 CONFIGURATION ENSURING
EXCHANGE OF PMI EQUIPMENT IS CHARGING AND
EQUIPMENT FUNTIONAL
ROLE III REQUESTS
REPLACEMENT PMI MLC REQUESTS THEATER PMI CELL
MLC SENDS
FROM MLC -- also relays REPLACEMENT PMI PROCESSES REQUEST
REPLACEMENT PMI
to the Theater PMI Cell for FROM THE THEATER AND PUSHES PMI TO
TO ROLE III
replacement PMI CELL MLC

8. Photo contributed by co-
worker

9. DEPARTMENT OF THE ARMY
UNIT NAME
TASK FORCE NAME
UNIT LOCATION/ADDRESS
31 Oct 2011
MEMORANDUM FOR AFCENT/SG
SUBJECT: Patient Movement Item (PMI) Level Review
FROM: Unit, Location
1. IAW USARCENT Policy Memorandum SURG-13, dated 3 May 2010, the following levels
were reviewed and authorized by the medical treatment facility commander based on the
minimum prepositioned levels equal to three days of expected patient flow.
EQUIPMENT LIST CURRENT LEVELS REQUESTED LEVELS
4 Bay Battery Charger
Single Bay Battery Charger
Defibrillator, Zoll
IV Controller
Monitor, Propaq
Oxygen Analyzer
Pulse Oximeter, BCI 3303
Stryker Frame
Suction Unit
LTV Ventilator 1000 0 1
Ventilator
KCI Freedom Vac
PCA Ambit Pump
Sequential Compression Device
Vacuum Spinal Board
2. JUSTIFICATION FOR INCREASE/DECREASE IN LEVELS: This MTF receives a high
number of pediatric trauma patients. An LTV Ventilator 1000 is needed for the emergency
MEDEVAC of these patients.
Signature
NAME OF OFFICER IN CHARGE
RANK, AFFILIATION
Duty Title

10. TWO OPTIONS:
OPTION 1:
• Each piece of equipment has a service tag
• Keep track of the expiration dates
• Request replacement equipment within 60 days of expiration from the Theater
PMI Cell
• Once replacement is received, ship equipment requiring maintenance to the Med
Maintenance Team or PMI Cell
OPTION 2:
• If the Med Maintenance Team is willing andPatients for Movement, by MAJ Richard Morton,
Preparing
able, request a visit to perform
services and recalibrate the equipment on-site Care Division, OIC, Joint Enroute Care Course,
Director, Joint Enroute
Jan 2007
• Ensure you maintain a good working relationship with Med Maintenance!
NEVER, NEVER, NEVER LET
YOUR EQUIPMENT EXPIRE!

11. “The Special Medical Emergency Evacuation Device (SMEED) allows
for Intensive Care Unit-level monitoring of patients while they are being
flown to higher-level treatment facilities.” Accessed from the National “The Special Medical Emergency Evacuation Device (SMEED)
Museum of Health and Medicine at the following address: provides a safe, convenient and lightweight platform with universal
http://nmhm.washingtondc.museum/exhibits/balad/balad5.html anchor points for mounting standard issue monitors and life
support equipment to litters for use in evacuation of patients.”
Photo accessed from the Combat Casualty Care Research
Program (CCCRP) at the following address:
https://ccc.amedd.army.mil/task-areas/advanced-capabilities-for-
emergency-medical-monitoring.jspx

12. Yes– it looks a mess,
but it’s all plugged in,
charged, and ready to
go!!!
Personal photo

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14. Theater * FM6943 (P) 332nd CASF
IRAQ UNIT
BALAD
(1) A1C Cox
443-2617
EQUIPMENT LEVEL On-Hand RDY QA POC
4 Bay Battery Charger 3 3 3
PMI Battery Charger Single Bay 0 0 0
Equipment Defibrillator Zoll 4 5 5
List IV Controller 28 23 23 Levels:
Monitor Propaq 33 30 28 2 Authorizations
Oxygen Analyzer 2 3 3
Pulse Oximeter BCI 3303 8 7 7
On-Hand: Bi-
Stryker Frame 1 1 1 weekly inventory
Suction Units 18 11 11 RDY: Ready for use
LTV Ventilator 1000 1 2 1 1 QA: # of pieces
Ventilator 23 25 18 7
Oversized Litters 0 0 0
with deficiencies
KCI Freedom Vac 12 1 1 (due-cal, in need of
PCA Ambit Pumps 14 16 14 2 repair....)
AWIS 0 0 0
SCD 18 1 1
VSB 2 2 2
TOTALS 167 130 118 12
***Information taken directly from the Southwest Asia (SWA) PMI Cell presentation

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